ATI RN
ATI RN Adult Medical Surgical 2023 I Questions
Extract:
Question 1 of 5
A patient is exhibiting an altered level of consciousness and is unresponsive to verbal stimuli. To elicit a response from a painful stimulus, the nurse would:
Correct Answer: B
Rationale: Pinching the trapezius muscle is a standard, safe method to assess response to painful stimuli in an unresponsive patient, per neurological assessment protocols.
Question 2 of 5
A nurse is teaching a client who has Graves' disease about recognizing the manifestations of thyroid storm. Which of the following findings should the nurse include in the teaching?
Correct Answer: B
Rationale: Increased temperature (fever) is a hallmark of thyroid storm due to excessive thyroid hormone.
Question 3 of 5
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) for the administration of total parenteral nutrition (TPN). The transparent dressing over the insertion site requires replacement. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: Sterile technique is required for PICC dressing changes to prevent infection.
Question 4 of 5
A nurse in the emergency department is monitoring a client who is receiving dopamine to treat hypovolemic shock. Which of the following findings should the nurse identify as an indication for increasing the client's dopamine dosage?
Correct Answer: C
Rationale: BP of 90/50 mm Hg indicates persistent hypotension, suggesting the need for a higher dopamine dose.
Question 5 of 5
A nurse is assessing a client who has increased intracranial pressure. The nurse should recognize that which of the following is the first sign of deteriorating neurological status?
Correct Answer: C
Rationale: Altered level of consciousness is the earliest and most sensitive indicator of worsening intracranial pressure.